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犬的淋巴腺复合体结节性增生:直肠肿块的潜在诊断陷阱。

Nodular hyperplasia of lymphoglandular complexes in dogs: A potential diagnostic pitfall for rectal masses.

机构信息

The University of Melbourne, Melbourne, VIC, Australia.

Gribbles Veterinary Pathology, Melbourne, VIC, Australia.

出版信息

Vet Pathol. 2024 Mar;61(2):243-247. doi: 10.1177/03009858231190643. Epub 2023 Aug 7.

Abstract

Lymphoglandular complexes are components of the gut-associated lymphoid tissue that are characterized by submucosal lymphoid aggregates invested by projections of mucosal epithelium. Reports of pathology involving these structures are rare in both human and veterinary literature. Here, the authors report 2 cases of rectal masses excised from dogs following a period of tenesmus and hematochezia. In both animals, the masses were composed of lymphoid tissue closely encompassing tubuloacinar structures. Immunohistochemistry and polymerase chain reaction antigen receptor rearrangement testing demonstrated that the lymphoid population was polyclonal, comprising T and B cells arranged in loosely follicular aggregates centered on the epithelial foci. In light of these findings, a diagnosis of lymphoglandular complex nodular hyperplasia was reported. To the authors' knowledge, this is the first report of this condition in dogs.

摘要

淋巴腺体复合结构是肠相关淋巴组织的组成部分,其特征为黏膜下层的淋巴聚集,被黏膜上皮的突起所包围。在人类和兽医文献中,有关这些结构的病理学报告都非常罕见。在此,作者报告了 2 例犬的直肠肿块切除病例,这些犬在出现里急后重和血便之前有过一段时间的这种症状。在这两种动物中,肿块都是由紧密包围管状腺结构的淋巴组织组成。免疫组织化学和聚合酶链反应抗原受体重排检测表明,淋巴群体是多克隆的,由 T 和 B 细胞组成,松散地围绕着上皮焦点排列成滤泡状聚集。根据这些发现,报告了淋巴腺体复合结构结节性增生的诊断。据作者所知,这是犬的这种疾病的首例报告。

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